The Development of Non-verbal Communication Instruction Program for Children with Severe Motor Impairments

在这项研究中，首先开发了一个程序，指导严重运动障碍儿童通过增强型沟通装置获得沟通技能。然后，通过三名Werdnig-Hoffmann病儿童对该计划的有效性进行了检验。该计划于1996年针对语言表达明显受限的Werdnig-Hoffmann病儿童而制定。它由三个领域组成，即“设计控制”、“书信学习”和“日常交流”。每个区域被划分为小步骤，并为每个孩子设定了在日常生活中获得与计算机使用的沟通能力的目标。这三个孩子实际上是在1997年尝试过这个项目的。结果，他们都获得了巧妙的控制技能。此外，其中两个似乎改善了平假名的发音和语言表达。最后，根据研究的证据，对该方案进行了重新评估和部分修改。综上所述，所获得的技能在日常生活中的应用以及该方案的广泛实践等问题仍需进一步研究。

In this study, at first, a program was developed which instructs children with severe motor impairments acquire communication skills through augmentative communication devises. Then, the efficiency of the program was examined through three children with Werdnig-Hoffmann disease.The program was elaborated in 1996 for the children with Werdnig-Hoffmann discase whose language expressions were remarkably limited. It consisted of three areas, "devise control", "letter-learning", and "daily communication". Each area was divided into small steps, and the goal was set up for each child to gain communication ability with computer use in the daily living. The three children actually tried the program in 1997. As a result, they all acquired the devise control skills. Besides, two of them appeared to have improved Hiragana sounds and language expressions. Finally, the program was reevaluated and was partly revised based on the evidence of the study.In conclusion, unsolved problems, such as application of their acquired skills to the daily living situations and extensive practice of the program, must be studied further in the future.